- Humana (Tallahassee, FL)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Actalent (Orlando, FL)
- Job Title: Remote Appeals Technician Job Description: As a Remote Pharmacy Technician, you will play a crucial role in managing coverage determination requests and ... * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and… more
- Elevance Health (Miami, FL)
- …for system edits. + Coordinates research and responds to system inquiries and appeals . + Conducts research of claims systems and system edits to identify ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Cardinal Health (Doral, FL)
- …queue as assigned in the appropriate system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate ... right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of… more
- University of Miami (North Miami, FL)
- …criteria. + Assists physicians and clinic staff with filing charges, billing, and insurance authorizations and appeals as needed. + Adheres to University and ... unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS + Bachelor's… more
- University of Miami (Doral, FL)
- …criteria. + Assists physicians and clinic staff with filing charges, billing, and insurance authorizations and appeals as needed. + Adheres to University and ... unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education:… more
- City of Coral Gables, FL (Coral Gables, FL)
- …in the daily implementation of activities related to the National Flood Insurance Program (NFIP). Oversees management of elevation certificate files and ensures that ... Florida and the Miami-Dade County Board of Rules and Appeals as a Certified Building Official and licensed as...accordance with the City's Personnel Rules & Regulations. HEALTH INSURANCE : Fully paid by the City (HMO Select). Coverage… more
- City of Coral Gables, FL (Coral Gables, FL)
- …Certified by the State of Florida and the Miami-Dade County Board of Rules and Appeals in accordance with Chapter 8, Article 2 of the County Code, and be qualified ... training course approved by the Board of Rules and Appeals before certification; or (2) Possess a current Florida...agreement and the City's Personnel Rules & Regulations. MEDICAL INSURANCE : Fully paid by the City (HMO Select). Coverage… more
- Akumin (Tampa, FL)
- …Initiate follow-up with insurance companies for payments of pending claims. + Appeals denied claims with insurance carriers. + Research credit balances to ... of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment.… more
- AssistRx (Orlando, FL)
- This role works directly with healthcare providers & insurance plans/payers to gather information about a patient's insurance and the coverage provided for a ... specific pharmaceutical product. The Insurance Verification Specialist will support the healthcare providers addressing...(PA) for an assigned caseload and helps navigate the appeals process to access medications. + Ensure cases move… more